Calcifying pseudoneoplasms of the neuraxis (CAPNON)

Evidence-based neurology checklist on calcifying pseudoneoplasms of the neuraxis (capnon): Pathology These are slow-growing tumefactive lesions They can develop anywhere in the central nervous system They can be intra- or extra-axial They are non-infiltrative They cause mass effect They may be…

Pathology

  • These are slow-growing tumefactive lesions
  • They can develop anywhere in the central nervous system
  • They can be intra- or extra-axial
  • They are non-infiltrative
  • They cause mass effect
  • They may be related to degenerative lesions of facet joint ligaments or synovial cysts
  • There is a relationship with neurofilament light (NF-L) immunogenicity

Clinical features: cranial

Clinical features: spinal

Differential diagnosis: spinal

Differential diagnosis: cranial

Magnetic resonance imaging (MRI) features

Computed tomography (CT) features

Histopathology

Treatment

References

  1. Stienen MN, Abdulazim A, Gautschi OP, Schneiderhan TM, Hildebrandt G, Lücke S. Calcifying pseudoneoplasms of the neuraxis (CAPNON): clinical features and therapeutic options. Acta Neurochir (Wien) 2013; 155:9-17.
  2. Saha A, Arevalo-Perez J, Peck KK, Rosenblum M, Bilsky M, Lis E, Karimi S. Calcifying pseudoneoplasm of the spine: imaging and pathological features. Neuroradiol J 2018; 31:440-444.
  3. Yang K, Reddy K, Chebib I, Hammond R, Lu JQ. Calcifying pseudoneoplasm of the neuraxis: from pathogenesis to diagnostic and therapeutic considerations. World Neurosurg 2021; 148:165-176.
  4. Lyapichev K, Bregy A, Shah AH, Shah K, Desai MB, Petito C, Komotar RJ. Occipital calcified pseudoneoplasms of the neuraxis (CAPNON): understanding a rare pathology. BMJ Case Rep 2014; 2014:bcr2014206855.
  5. Fareez F, Yahya S, Fong C, et al. Spinal calcifying pseudoneoplasm of the neuraxis (CAPNON) associated with facet joint pathologies: CAPNON diagnostic and pathogenic insights. Hum Pathol 2024; 145:16-25.
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